Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.37 / $1,469.19 / $4,846.00	Facility		$127.37	$1,469.19	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.80 / $146.50 / $223.01	Professional		$99.80	$146.50	$223.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,523.00 / $3,677.00 / $5,445.00	Facility		$1,523.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.75 / $114.69 / $162.85	Professional		$91.75	$114.69	$162.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.56 / $134.63 / $208.58	Facility		$103.56	$134.63	$208.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $182.60 / $228.26	Professional		$152.16	$182.60	$228.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.21 / $498.21 / $590.58	Facility		$498.21	$498.21	$590.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.69 / $186.79 / $294.29	Professional		$120.69	$186.79	$294.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.27 / $187.59 / $332.74	Professional		$141.27	$187.59	$332.74